Jack W Bonner Iii, MD - Psychiatry & Neurology in Greenville, SC

Jack W Bonner Iii, MD is a Psychiatry & Neurology - Psychiatry physician based in Greenville, South Carolina. Jack W Bonner Iii is licensed to practice in South Carolina (license number 17455) and his current practice location is 701 Grove Rd, Greenville, South Carolina. He can be reached at his office (for appointments etc.) via phone at (864) 455-8431.

NPI number for Jack W Bonner Iii is 1336199751 and his current mailing address is 7 Independence Pt, Suite 140, Greenville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336199751.

Contact Information

Jack W Bonner Iii, MD
701 Grove Rd,
Greenville, SC 29605-5611
(864) 455-8431
Not Available

Map and Direction




Physician's Profile

Full NameJack W Bonner Iii
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location701 Grove Rd, Greenville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336199751
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 12/28/2009

Medical Identifiers

Medical identifiers for Jack W Bonner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336199751NPI-NPPES
174555MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 17455 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack W Bonner Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack W Bonner Iii, MD
7 Independence Pt, Suite 140,
Greenville, SC 29615-4566

Ph: (864) 797-6044
Jack W Bonner Iii, MD
701 Grove Rd,
Greenville, SC 29605-5611

Ph: (864) 455-8431

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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